RT Journal Article SR Electronic T1 Morphometric and Histologic Substrates of Cingulate Integrity in Elders with Exceptional Memory Capacity JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 1781 OP 1791 DO 10.1523/JNEUROSCI.2998-14.2015 VO 35 IS 4 A1 Tamar Gefen A1 Melanie Peterson A1 Steven T. Papastefan A1 Adam Martersteck A1 Kristen Whitney A1 Alfred Rademaker A1 Eileen H. Bigio A1 Sandra Weintraub A1 Emily Rogalski A1 M.-Marsel Mesulam A1 Changiz Geula YR 2015 UL http://www.jneurosci.org/content/35/4/1781.abstract AB This human study is based on an established cohort of “SuperAgers,” 80+-year-old individuals with episodic memory function at a level equal to, or better than, individuals 20–30 years younger. A preliminary investigation using structural brain imaging revealed a region of anterior cingulate cortex that was thicker in SuperAgers compared with healthy 50- to 65-year-olds. Here, we investigated the in vivo structural features of cingulate cortex in a larger sample of SuperAgers and conducted a histologic analysis of this region in postmortem specimens. A region-of-interest MRI structural analysis found cingulate cortex to be thinner in cognitively average 80+ year olds (n = 21) than in the healthy middle-aged group (n = 18). A region of the anterior cingulate cortex in the right hemisphere displayed greater thickness in SuperAgers (n = 31) compared with cognitively average 80+ year olds and also to the much younger healthy 50–60 year olds (p < 0.01). Postmortem investigations were conducted in the cingulate cortex in five SuperAgers, five cognitively average elderly individuals, and five individuals with amnestic mild cognitive impairment. Compared with other subject groups, SuperAgers showed a lower frequency of Alzheimer-type neurofibrillary tangles (p < 0.05). There were no differences in total neuronal size or count between subject groups. Interestingly, relative to total neuronal packing density, there was a higher density of von Economo neurons (p < 0.05), particularly in anterior cingulate regions of SuperAgers. These findings suggest that reduced vulnerability to the age-related emergence of Alzheimer pathology and higher von Economo neuron density in anterior cingulate cortex may represent biological correlates of high memory capacity in advanced old age.